What ’ s in My Patient Treatment Bag?
As a kid, I loved long drives with my mom. We’d listen to music, catch up and, my favorite part—I’d go through her purse. I’d read and then throw out old receipts, collect loose coins and throw out old Ziploc bags of Band-Aids or ibuprofen. You can learn a lot about someone by digging through their bag. What did I learn about my mother? She’s neurotic and quite literally prepared for anything. OK, fine, I didn’t learn that from her bag. Exploring it just confirmed what I already knew. When I began working as a PRN (as needed) speech-language pathologist at an inpatient rehab facility, I knew I’d need to get a bag together to prepare for treatment of any patient coming my way. I bet you’re wondering what that bag looked like and what I put in it. The bag I chose a travel bag with a beautiful paisley print and lots of compartments. If you need a new bag, consider a diaper bag. They contain plenty of lined compartments and are easy to clean—perhaps choose one with a padded pocket for a laptop or tablet. A backpack, rolling bag or a folding cart might also be useful. The contents Post-its are essential. Thought of a question for the treating physician? Use a post-it. Need to leave a note for the primary SLP? Leave a post-it. A patient wants to leave a note in the room in case his wife comes? Hand him a post-it. Can I Do My CF in a Hospital? Use Memory Diaries to Help Patients Get Back on Track After Delirium Help Clients With...
CONCLUSIONS: Immunohistochemistry seems to be a promising option not only in clinical recognition, but also in the selection and monitoring of treatment effects. However, these methods have not yet recommended for routine clinical use. PMID: 33032462 [PubMed - as supplied by publisher]
DEMENTIA can be tricky to pick up on in the earliest stages. However, mounting research indicates a certain time of day when symptoms may be more noticeable. What time do you need to be on full alert?
CONCLUSIONS: Individually customized, multicomponent exercise programs lead to improved levels of cognitive function, depression, and quality of life, especially among those who are more frail. PMID: 33029968 [PubMed]
CONCLUSIONS: Paramagnetic rims might be a characteristic MRI finding for MS, and therefore they have potential as an imaging marker for differentially diagnosing MS from NMOSD using 3-T MRI. PMID: 33029961 [PubMed]
[This Day] Asaba -- Delta State Government has launched the HIV Self-Testing Programme with a vow to scale up all response measures for arresting the relatively high HIV prevalence rate in the state, which places Delta as being among the highest in the country.
Conclusion: SLT induces relaxation of rat isolated tail artery through endothelium-independent mechanisms. The SLT-induced vasodilatation appeared to be jointly meditated by blockages of extracellular Ca2+ influx via receptor-gated and voltage-gated Ca2+ channels and inhibition of the release of Ca2+ from the sarcoplasmic reticulum. PMID: 33029174 [PubMed]
From 5G to a fancy scanner
Background: Controversy exists regarding the need for proximal fibular epiphysiodesis in conjunction with proximal tibial epiphysiodesis to prevent relative overgrowth of the fibula. The purpose of this study was to determine the incidence of relative fibular overgrowth in patients who had undergone proximal tibial epiphysiodesis with or without proximal fibular epiphysiodesis to manage leg-length discrepancy. Methods: We identified patients who had undergone proximal tibial epiphysiodesis, with or without concomitant fibular epiphysiodesis, followed to skeletal maturity, and with adequate scanograms to measure tibial...
Conclusions: Pediatric patients have been overprescribed opioids after operative treatment of supracondylar humerus fractures at our institution. Families who report pain scores>5 of 10 and/or persistent opioid use beyond postoperative day 5 warrant further clinical evaluation. Two of 3 pain outliers in this study experienced a minor postoperative complication. With appropriate parental counseling, satisfactory pain control can likely be achieved with acetaminophen and ibuprofen for most patients. If oxycodone is prescribed for breakthrough pain, then the authors recommend limiting to
Conclusions: This study demonstrates that there is minimal error due to image acquisition and measurement when using a biplanar slot scanner. Biplanar slot scanning technology tended to underestimate the size of the marker; however, the least accurate measurements only erred by 1.5% from the true length. This indicates that unlike traditional radiographs the sources of error in biplanar slot scanning images are not due to parallax and are likely due to patient-specific factors and rather than the technology itself.